Individual
JESSICA VAN SLYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
310 N STATE OF FRANKLIN RD STE 103, JOHNSON CITY, TN 37604-6063
(423) 328-0163
Mailing address
310 N STATE OF FRANKLIN RD STE 103, JOHNSON CITY, TN 37604-6063
(423) 328-0163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.019786
IL
363LF0000X
Family Nurse Practitioner
Primary
32559
TN
Other
Enumeration date
08/13/2019
Last updated
09/20/2023
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